MEDICARE: MS. YVONNE A MORRIS RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	371126-RN	NY

General Provider Information

NPI Number	:	1760782007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YVONNE A MORRIS RN

Provider Business Mailing Address
First Line	:	110 EDGECOMBE AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10030-1928
Country	:	US
Telephone Number	:	212-281-3884
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 EDGECOMBE AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10030-1928
Country	:	US
Telephone Number	:	212-281-3884
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2010
Last Update Date	:	01/19/2012

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